Individual provider · Type 1 NPI
Misty Marie Crick-Goodman, LE
Other Specialist/Technologist · Bonney Lake, WA
NPI number
1154030401
Active
Practice location
20622 108th Street Ct E
Bonney Lake, WA 98391-7969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 9756 (CA) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Other other specialist/technologist providers in Bonney Lake
About NPI 1154030401
Misty Marie Crick-Goodman, LE's National Provider Identifier is 1154030401, issued on Nov 15, 2022. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Bonney Lake, WA. The record was last updated on Nov 15, 2022.